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Home My WebLink AboutX2021-2227 - Permitsrx'rn�. City of Newport Beach - Building Division 'X2021-2227' COMB Permit: X2021-2227 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Project No: 1928-2021 Inspection Requests Phone (949)644-3255 < Combination Type - GRAD Issued Date : 08/23/2021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0812312024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 3 RUE FONTAINEBLEAU NB Description: MFRYARDDRAINAGE Legal Desc.: N TR 7788 LOT 2 t Owner: KRUSE M RUSSELL Contractor: MASONRY PLUS Architect: Address: 3 RUE FONTAINBLEAU Address: 1079 CORONA LANE Address: NEWPORT BEACH CA 92660 COSTA MESA CA 92626 Phone: Phone: 714-381-5997 Phone: State Lic: Applicant: SPEER RANDY Con State Lie: 553711 Engineer: Address: 1079 CORONA LN Lie Expire: 01131/2023 Address: COSTA MESA CA 92626 Bus Lie: BT00016674 Phone: 714-546-2745 Lie Exp Date: 1213112021 Phone: State Lie: CL Code Edit: 2019 Type of Construction: VB Worker's Compensation Insurance Carrier: STATE COMP Designer: Address: SPEER RANDY 1079 CORONA LN Occupancy Group: U Policy No: 9027621 COSTA MESA CA 92626 Added /New sq.ft. Bldg: 0 Expire: 1010112021 Phone: 714-546-2745 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear. I Special Conditions: No of Units: 1 Front: / Bldg Height: 0 Left: I " Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $0.00 Grading Permit Fee: $237.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $199.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 Building Green Fee : $0.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $436.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $436.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TC ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 7 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 700 f visio of the Business and Profil ` d my license is ig full force nd effect. License Class License No DatteContractor Signature VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE 'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th eyformance of the work for which this permit is issued. Policy No. have and will n workers' compensation insurance, parequired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi rance carrier an poll number -ier icy Expiration Date 1e of Agent '7 _3Phone # certify that, in the performance of the for which this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agre if I should become subj o the e ' comp�e/nsati/o/ryp� revi/sJions of�99Section 370 of the Labor Code, I shall forthwith comply with those provisions. F� Iature of Applicant /� ��1 y��if 2J 2( hereby affirm under penalty of perjury that there is a construction lendiWagency fo'fthe performance of the work for which this permit is issued (Section 3097, Civil Code) Ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county nterthev,-Id^entitled property for inspection purposes. _ r F7 �� 1 y �� lignature of Property Owner or Authorized Agent - `%9�r,L%�.�i( riot Property Owner's or Authorized Agent's Nam ( R a ACTION PERMITEXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED DATE I BY OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AOMD RULE 1403 El I SUBMITTED ASdFSTOS NOTIFICATION ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: I FOR OFFICE USE ONLY